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- Title
Surgical Outcomes of da Vinci Xi™ and da Vinci SP™ for Early-Stage Endometrial Cancer in Patients Undergoing Hysterectomy.
- Authors
Matsuura, Motoki; Nagao, Sachiko; Kurokawa, Shoko; Tamate, Masato; Akimoto, Taishi; Saito, Tsuyoshi
- Abstract
Objectives: This study aimed to evaluate and compare the feasibility and outcomes of two robotic hysterectomy (da Vinci Xi™ vs. da Vinci SP™) systems without lymph node dissection in patients with early-stage endometrial cancer, and assess the postoperative recurrence rate and overall survival of patients. Methods: A retrospective review of 84 patients who underwent robotic hysterectomy for endometrial cancer (stage 1A) was conducted. Surgical procedures, patient characteristics, intraoperative measures, and postoperative outcomes were statistically analyzed. A single gynecologist performed all surgeries. Results: Patient characteristics, average age, and body mass index showed no significant differences between the two models. The total operative time was significantly shorter with da Vinci SP™. Recurrence was identified in only one patient operated on with da Vinci Xi™. All patients were alive during analysis, with a median overall survival of 38 and 9 months for da Vinci Xi™ and da Vinci SP™, respectively. Conclusions: Robotic hysterectomy without lymph node dissection appears to be a safe and effective approach for patients with early-stage endometrial cancer. The da Vinci SP offers the advantage of shorter operative times than the da Vinci Xi™. These findings support the consideration of robotic surgery as a viable option for selected patients.
- Subjects
LEONARDO, da Vinci, 1452-1519; ENDOMETRIAL cancer; ENDOMETRIAL surgery; LYMPHADENECTOMY; HYSTERECTOMY; BODY mass index; SURGICAL robots
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 10, p2864
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13102864